Pseudofolliculitis Barbae

Pseudofolliculitis barbae is a chronic inflammatory condition that predominantly affects Black men. Affected individuals develop pink papules and pustules around the hair follicles on the face and neck due to shaving. As the papules and pustules resolve, it can result in hyperpigmentation (darker discoloration) and scarring. The condition is thought to be caused by shaved hairs growing back and curling back into the skin, causing localized irritation and inflammation. Management of the condition focuses on discontinuing shaving if possible or adjusting shaving techniques to minimize the formation of new lesions. Treatment may include prescription medications, corticosteroid injections, and laser hair removal.